ATTACHMENT B SOURCES SOUGHT NOTICE RESPONSE FORM.docx

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9905--Wayfinding Signage - Lake Baldwin and Lakemont facilities
Solicitation number
36C24826Q0170
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This document is a Sources Sought Notice Response Form for a Department of Veterans Affairs contract (Solicitation Number 36C24826Q0170) seeking vendors for wayfinding signage at Lake Baldwin and Lakemont facilities. The VA's Network Contracting Office 8 is conducting market research to identify capable commercial vendors for sign manufacturing, with a NAICS code 339950 and a small business size standard of 500 employees.

The response form requires detailed vendor information including organizational details, socio-economic status, potential subcontractor arrangements, capability statements, and relevant contract experience. Interested parties must submit their capability statements electronically to Stephen.Mancuso@va.gov by 2:00 PM EST on January 09, 2026, referencing the announcement number 36C24826Q0170. The sources sought notice emphasizes that this is not a formal solicitation and submission of information is voluntary, with no guaranteed contract award.

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ATTACHMENT B

SOURCES SOUGHT NOTICE 36C24826Q0170 RESPONSE FORM

Wayfinding Signage - Lake Baldwin and Lakemont facilities

Digital only, no hard copies of capability statements will be accepted. Participants must submit their capabilities no later than the response due date of the sources sought notice.

SECTION I - ORGANIZATION INFORMATION

Provide your organization information:

a. Organization Name: ____________________________________________________________________

b. Organization Address: __________________________________________________________________

c. Point of Contact (POC): __________________________________________________________________

d. POC Telephone Number: ________________________________________________________________

e. SAM UEI: _____________________________________________________________________________

f. Cage Code: ___________________________________________________________________________

g. Socio-economic Group (SDVOSB, VOSB, 8A…) list all that applies: _______________________________

h. GSA/FSS or NAC Schedule number, or state “Open Market”: ____________________________________

Provide the following additional organization information:

a. Identify any other companies owned (wholly or in-part) by the owners of this business who provide goods or services under the same or a related NAICS codes.

b. Identify any other companies owned (wholly or in-part) by the owners of this business who provide goods or services that are registered under the same or a related NAICS code with the Center for Veterans Enterprise (CVE); Provide the certification type (SDVOSB/VOSB)

c. Do you plan on responding to a solicitation for this requirement with a Joint Venture/subcontractor?

Yes ___, Proceed to section II.

No ___ , Proceed to Section III.

SECTION II – SUBCONTRACT/JOINT VENTURE INFORMATION
Subcontractor/Prime Contractor Percentage of Work. Click on,

“Choose an item” to display percent.

Subcontractor # 1

Name:

Address:

Phone Number:

DUNS:

Identify the percentage and specific task(s) to be performed by the subcontractor.

Specific Tasks:

Choose an item.

Identify the percentage and the specific task(s) to be performed by the primary contractor.

Specific Tasks:

Choose an item.

Subcontractor # 2

Name:

Address:

Phone Number:

DUNS:

Identify the percentage and specific task(s) to be performed by the subcontractor.

Specific Tasks:

Choose an item.

Identify the percentage and the specific task(s) to be performed by the primary contractor.

Specific Tasks:

Choose an item.

SECTION III – CAPABILITY STATEMENT

Provide a brief explanation of your capability to perform the services described in the DRAFT Statement of Work (SOW) or submit a copy of your Contractor Performance Assessment Reporting (CPARS) that describe the services in the DRAFT SOW.

SECTION IV – RELEVANT EXPERIENCE

Provide two (2) to three (3) Government or Commercial contracts references in which you performed the services described in the DRAFT SOW.

a. Contract Number:

b. Period of Performance:

c. Point of contact:

d. Point of contact phone number:

e. Point of contact e-mail address:

a. Contract Number:

b. Period of Performance:

c. Point of contact:

d. Point of contact phone number:

e. Point of contact e-mail address:

a. Contract Number:

b. Period of Performance:

c. Point of contact:

d. Point of contact phone number:

e. Point of contact e-mail address:

SECTION V – QUESTIONS TO THE CONTRACTING OFFICER

All questions will be answered electronically to all interested party that provided a response to this sources sought notice.

a.

b.

c.

d.

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